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Int Arch Otorhinolaryngol. 2015 Jan;19(1):55-60. doi: 10.1055/s-0034-1384687. Epub 2014 Nov 05.

Evaluation of swallowing in infants with congenital heart defect.

International archives of otorhinolaryngology

Karine da Rosa Pereira, Cora Firpo, Marisa Gasparin, Adriane Ribeiro Teixeira, Silvia Dornelles, Tzvi Bacaltchuk, Deborah Salle Levy

Affiliations

  1. Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
  2. Department of Paediatric Cardiology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
  3. Department of Speech Pathology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

PMID: 25992152 PMCID: PMC4392504 DOI: 10.1055/s-0034-1384687

Abstract

Introduction Surgical repair of congenital heart disease in the first years of life compromises the coordination of the suction, breathing, and swallowing functions. Objective To describe the alterations in swallowing found in infants with congenital heart defect during their hospitalization. Methods Prospective, cross-sectional study in a reference hospital for heart disease. The sample consisted of 19 postsurgical patients who underwent an evaluation of swallowing. The infants included were younger than 7 months and had a diagnosis of congenital heart defect and suspected swallowing difficulties. Results Of the 19 infants with congenital heart defect, the median age was 3.2 months. A significant association was found between suction rhythm and dysphagia (p = 0.036) and between oral-motor oral feeding readiness and dysphagia (p = 0.014). Conclusions The data suggest that dysphagia often occurs after surgery in infants with congenital heart defect. Infants with congenital heart defect had very similar behavior to preterm infants in terms of oral feeding readiness.

Keywords: congenital heart; defects; deglutition disorders; infant; language and hearing sciences; respiratory aspiration; speech

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